Florida Law

Florida LawRichard Z Aramini, PharmD PGY-1 Pharmacy Practice ResidentBay Pines VA Healthcare Center1MPJE BasicsMultistate Pharmacy Jurisprudence Examination2 Hours: 90 QuestionsScore between 0-100; Need 75 to pass84% Pharmacy Practice13% Licensure, Registration, Certification3% Regulatory Structure and TermsPharmacy practice: legal responsibilities of pharmacy personnel, appropriate issuance of Rxs, dispensing procedures for pharmaceuticalsApplication and registration requirementsRegulatory: purpose of terms and conditions found in the law2Resourceshttp://www.leg.state.fl.us/Statutes/index.http://www.floridaspharmacy.gov/

3Important TopicsPharmacist vs Intern vs TechnicianOnly a pharmacist can do final verificationValidity of prescriptionsPatient is going on vacation and needs his medications earlyCan I dispense this without a prescription?Dose awarenessSchedule of drugsRote memorizationWhat Schedule Is It?DronabinolCIIIThebaconCIHeroinCIThebaineCIIAndrosteroneCIIIThiofentanylCIKetamineCIIIAlprazolamCIVCarisoprodolCIVOxycodoneCII

Quiz Time!

2 PointsWho appoints the members of the Florida State Board of Pharmacy?Director of the Pharmacy BoardGovernorState House of RepresentativesSurgeon General7GovernorNine members to be appointed by the Governor and confirmed by the Senate [Florida Pharmacy Act 465.004(1)].7 must be licensed pharmacistsResidents, practicing for at least 4 years1 community, 1 institutionalTwo non-pharmacy people4 year terms

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=MWguRFduIdxonM&tbnid=07Do58ScPrjAcM:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.ew.com%2Few%2Fgallery%2F0%2C%2C20477857%2C00.html&ei=2R54Uu7KN4nOyAGv3oDwDg&bvm=bv.55819444,d.aWc&psig=AFQjCNHmUUYVJu5Cg0EPothmGTK-5twAhw&ust=138369032424314082 PointsWhat information is required on a prescription for a controlled substance?Practitioners name, address, and DEA registration numberManual signature of prescriberDosage form of the prescribed drugA: 1B: 1 & 2C: 2 & 3D: ALL1, 1 and 2, 2 and 3, or all?9ALL OF THE ABOVE1. Date of issue2. Patients name and address3. Practitioners name, address, and DEA #4. Drug name5. Drug strength6. Dosage form7. Quantity prescribed8. Directions for use9. Number of refills (if any) authorized10. Manual signature of prescriberMust be manually signed. May be prepared by another individual104 PointsSchedule II controlled prescriptions for patients in a LTCF or patients with a medical diagnosis documenting a terminal illness are valid for a period not to exceed:30 days60 days90 days120 days1160 days from issue date21CFR1306.13(b)Memorize it12Which are TRUE about license display?I. The current license of each pharmacist engaged in the practice of the profession of pharmacy in any pharmacy shall be displayed in a conspicuous place in or near the prescription department.

II. Pharmacists employed in secondary practice sites shall present a valid wallet license as evidence of licensure upon request.

III. No pharmacist shall display, cause to be displayed or allow to be displayed, their license in any pharmacy where said pharmacist is not engaged in the practice of the profession.A: IB: I & IIC: II & IIID. ALLI, I&II, II & III, ALL?13All of the AboveAdditionally:A pharmacist and registered pharmacy intern must be clearly identified by a means such as an identification badge or monogrammed smock showing their name and if they are a pharmacist or a registered pharmacy intern.The current registration of each registered pharmacy technician shall be displayed, when applicable, in a conspicuous place in or near the prescription department, and in such a manner that can be easily read by patrons of said establishment. Registered pharmacy technicians employed in a secondary practice site shall present a valid wallet registration as evidence of registration upon request.144 PointsA pharmacy must register as a distributor if it distributes, to another registrant, more than: how much of all controlled substances:2% within 1 year5% within 1 year3% within 2 years4% within 6 months155% within 1 yearA pharmacy registered to dispense controlled substances may distribute controlled substances even without being registered as a distributor provided that:I. The pharmacy or physician to which the controlled substance is distributed must be registered under the Act to dispense controlled substances.II. The distributing pharmacy must keep accurate record of distributing controlled substances including name, dosage form and quantity of the controlled substance distributed. It also requires the name, address and DEA registration number of the receiving pharmacy or physician.III. If the transferred controlled substance is either a Schedule I or II controlled drug, the transfer must be made on a DEA 222 order form.IV. The total number of controlled substances distributed by the pharmacy to another registrant must not exceed 5 % of all controlled substances dispensed by the pharmacy within a 12-month period162 PointsWhich of the following is/are alternative form of counseling?Information leafletsPictogram labelsVideo programsChoose all that apply17ALL OF THE ABOVE!!OBRA90Alternative forms of patient information may be used to replace patient counseling in an emergency situation when verbal face-to-face counseling is not possible. Alternative forms of patient information may be used to supplement patient counseling when appropriate. Examples include written information leaflets, pictogram labels, video programs, etc.182 PointsIn Florida, the inventory of controlled substances should be done every:YearTwo yearsThree yearsFive years19Two YearsFlorida Comprehensive Drug Abuse Prevention and Control Act 893.07(1)(a)The inventory may be prepared on the regular physical inventory date which is nearest to, and does not vary by more than 6 months from, the biennial date.Records shall be kept for 2 years202 PointsHow many hours of continuing education are required for pharmacists under Florida State Pharmacy Law per license renewal?30 hours 15 hours22 hours50 hours2130 hoursFlorida Administrative Code 64B16-26.103(1)22Who may audit your CE hours?DEAFlorida Board of PharmacyDepartment of HealthChoose all that apply23The Board and the DOHFlorida Administrative Code 64B16-26.603Each pharmacist shall retain documentation of participation in continuing education programs required for license renewal for not less than two years after the license is renewed for audit purposes if and when such audit is undertaken by the Department of Health and the Board of Pharmacy. Such documentation shall consist of statements of credit for lecture attendance, certification forms from instructors, or course completion slips from correspondence courses.244 PointsPrescriptions for animals much contain which of the following?Name of animalSpecies of animalFull name and address of owner of the animalChoose all that apply25

Species and Owner InfoFlorida Comprehensive Drug Abuse Prevention and Control Act 893.04(1)(c)If the prescription is for an animal, the prescription shall state the species of animal for which the drug is prescribed and the full name and address of the owner of the animal.262 PointsIn the event where you are unable to obtain authorization for a refill you may dispense an emergency refill for up to how long?24 hours48 hours72 hours96 hours

72 Hours465.0275: Emergency prescription refill.In the event a pharmacist receives a request for a prescription refill and the pharmacist is unable to readily obtain refill authorization from the prescriber, the pharmacist may dispense a one-time emergency refill of up to a 72-hour supply of the prescribed medication, with the exception of those areas or counties included in an emergency order or proclamation of a state of emergency declared by the Governor, in which the executive order may authorize the pharmacist to dispense up to a 30-day supply, providing that: (1)The prescription is not for a medicinal drug listed in Schedule II appearing in chapter 893.(2)The medication is essential to the maintenance of life or to the continuation of therapy in a chronic condition.(3)In the pharmacists professional judgment, the interruption of therapy might reasonably produce undesirable health consequences or may cause physical or mental discomfort.(4)The dispensing pharmacist creates a written order containing all of the prescription information required by this chapter and chapters 499 and 893 and signs that order.(5)The dispensing pharmacist notifies the prescriber of the emergency dispensing within a reasonable time after such dispensing.

6 PointsYou may dispense WHICH of the following without a prescription?240 mg of codeine240 mg of opium5mg of hydrocodone60 mg of ethyl morphine

Our levels are HALF of the federal law29

240mg of Opium893.08Exceptions. (1)The following may be distributed at retail without a prescription, but only by a registered pharmacist: The total quantity of controlled substance listed in Schedule V which may be sold to any one purchaser within a given 48-hour period shall not exceed 120 milligrams of codeine60 milligrams dihydrocodeine 30 milligrams of ethyl morphine240 milligrams of opium.

And the winner isEveryone!Because knowing the law is how you keep your license!